Non-Claims-Based Payments (NCBPs) Data

This data is covered under Rule Chapter 247 - Uniform Reporting System for Non-Claims Based Primary Care Payment. See Important Notes below for additional information.

12/23/21 - Webinar Deck and Recording Available

The PowerPoint slides from the December 14, 2021 webinar are now available, as is the recording. The recording can be found on YouTube via this URL: https://youtu.be/BHqcthTLtlE.

12/14/21 - Webinar 12/14/21 to review the requirements and timeline for Chapter 247: Uniform Reporting System for Non-Claims Based Primary Care Payment

The MHDO will be implementing the collection of non-claims-based payment data in 2022. A webinar will be held Tuesday, December 14, from 3:00 - 4:00 PM ET. During this webinar MHDO will review the requirements and timeline for Chapter 247 data. A recording of the webinar will be available for those who are unable to attend the session. Another webinar will be held in the spring of 2022 to review details of the submission process.

Join the Webinar via Zoom Meeting:

  • URL: Click this link or copy and paste URL (https://zoom.us/j/97444685957) into browser
  • Meeting ID: 974 4468 5957
  • One tap mobile +13126266799,,97444685957# US (Chicago)
    +16465588656,,97444685957# US (New York)

Please note these important tasks and dates for the submission of Chapter 247 NCBP Data.

Task Start Date End Date
Payer webinar Tue 12/14/21 Tue 12/14/21
Annual registration update information Wed 2/2/22 Mon 2/28/22
Payer testing Wed 5/18/22 Fri 6/17/22
Deploy changes to production Tue 8/2/22 Tue 8/2/22
Submission of 2020 data Wed 8/3/22 Wed 8/31/22

Important Notes

MHDO is required by statute to create and maintain a useful, objective, reliable and comprehensive health information database that is used to improve the health of Maine citizens and to issue reports and or support the development of reports as mandated. The reason for proposing this new rule is so that MHDO’s data for Primary Care payments is accurate and comprehensive in that it reflects both payments made under the traditional fee for service model (governed under Chapter 243) and alternative payment models, which are non-claims based payments (governed under this proposed rule). PL 2019, Chapter 244 requires the Maine Quality Forum to develop an annual report to submit to the legislature on primary care spending in the state of Maine, using data from the Maine Health Data Organization. Currently, MHDO’s data set does not reflect the total investment that payors (both private and public) are making in primary care and therefore understates the level of spending in the state of Maine. This proposed rule provides the structure for the submission of data for non-claims based primary care payments. This will allow for accurate reporting and better inform future policy decisions specific to investments in primary care.

It is anticipated that this new rule will improve the accuracy of the State’s annual reporting of primary care spending in the state of Maine. The substance of the proposed rule is based on recommendations for uniformity in defining primary care and non-claims-based payments developed by Milbank Memorial Fund, in their report titled Measuring Non-Claims-Based Primary Care Spending. The rationale for adopting the Milbank methodology is to streamline the administrative burden for reporting entities and align with a strategy that may become the national standard adopted by the National Association of Health Data Organizations (NAHDO).